Table 2.

Association between poverty income ratio (PIR) and self-reported physical functioning (PF) among participants with systemic lupus erythematosus in the Georgians Organized Against Lupus cohort (analysis of complete data, n = 744).

OutcomePoverty Income Ratio
< 1.001.00–1.992.00–3.99≥ 4.00
PF score, mean (SD)*36.20 (34.16)40.71 (35.38)55.45 (34.85)61.24 (34.75)
Difference in PF score (95% CI)
  Unadjusted−4.50 (−11.31, 2.30)1.00 (ref)14.75 (7.62, 21.88)20.53 (11.48, 29.58)
  Adjusted for age, sex, and race−7.02 (−13.79, −0.25)1.00 (ref)13.09 (6.00, 20.17)20.62 (11.54, 29.69)
  Multivariable-adjusted**−6.02 (−12.81, 0.76)1.00 (ref)10.90 (3.25, 18.55)16.21 (6.39, 26.03)
  Multivariable + SA-BILD score−4.13 (−10.80, 2.55)1.00 (ref)10.91 (3.42, 18.39)13.47 (3.82, 23.13)
  Multivariable + PHQ-9 score−4.92 (−11.22, 1.38)1.00 (ref)7.99 (0.87, 15.11)12.34 (3.21, 21.48)
  Multivariable + SLAQ score−2.56 (−8.82, 3.69)1.00 (ref)6.51 (−0.55, 13.57)9.17 (0.08, 18.25)
  Multivariable + BMI−7.27 (−14.05, −0.49)1.00 (ref)10.51 (2.88, 18.13)16.02 (6.18, 25.87)
  • PIR is ratio of household income to appropriate poverty threshold for household size, as defined by the U.S. Census Bureau (lower PIR indicates greater poverty).

  • * Scaled score of PF subscore from the 12-item Short Form Health Survey (scored 0–100, higher scores indicate better PF).

  • ** Adjusted for age, sex, race (black vs not black), education, marital status (married vs not married), and disease duration. SA-BILD: Self-Administered Brief Index of Lupus Damage; PHQ-9: nine-item Patient Health Questionnaire; SLAQ: Systemic Lupus Activity Questionnaire (higher scores indicate more of the domain measured with these instruments); BMI: body mass index.